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New Vice President Announced at January Board Meeting

January 23, 2014

McCook, Nebraska—Community Hospital Board of Directors learned at the January 15 meeting that a new Vice President of Patient Care Services has been hired.

Jim Ulrich, President & CEO, announced Janelle Kircher as Community Hospital’s new Vice President of Patient Care Services. Janelle previously worked at Good Samaritan Hospital in Kearney, Neb. where she has served most recently as the Director of Quality and Risk Management. Prior to that, she served as Director of Critical Care and Progressive Care and in other positions outside of Good Samaritan totaling approximately 14 years of experience in the healthcare industry and spent four years as a school teacher. She begins her new position February 10.

Regional Market Analysis

Steve Shaner, Strategic Planning Director presented the Regional Market Analysis containing data through fiscal year 2013, ending June 30, to the board of directors. The market analysis represents Community Hospital’s primary and secondary market areas including Red Willow County and the seven counties surrounding Red Willow in southwest Nebraska and northwest Kansas.

Population Analysis Overview—The demographic analysis reveals little change in the population of Community Hospital’s primary and secondary markets. Population for the primary market decreased slightly from 2012 to 2013 and the five year projection to 2018 is for virtually no change in the population of Red Willow County. The hospital’s secondary market experienced less than one percent decline in 2013 over 2012 and is projected to decrease only 2% by 2018.

Inpatient Analysis Overview—Approximately 70% of the hospital’s inpatient business originates from its primary market, Red Willow County. When looking at inpatients by product line the top five to six services utilized are: general medicine, obstetrics delivery, pulmonary medical and orthopedics, normal newborns, and cardio diseases. Community Hospital holds the largest share of its total market and demonstrated an increase in market share over the previous year.

Outpatient Analysis Overview—Approximately 58% of Community Hospital’s outpatient admissions originate from the hospital’s primary market, Red Willow County. Hitchcock County produces the second highest number of outpatient admissions. Community Hospital holds the largest market share of its total market procedures and demonstrated an increase in procedures performed over fiscal year 2012.

McCook Clinic Analysis Overview—A Patient/Visit Analysis for the McCook Clinic was also shared with board members.

Consent Agenda

The directors approved the minutes for the December 18 regular meeting of the Board of Directors, the December 12 regular meeting of the medical staff and the January 8 committee report for the Policy, Personnel and Planning Committee.

Action to be Taken

Appointments and reappointments were approved for a variety of providers under Consulting Staff and Allied Health Staff.

The board approved motions for the privilege delineation description and standards for the practice specialties of Otolaryngology and Radiation Oncology. Additional specialties will be reviewed in upcoming months. Directors also approved a motion for the new Community Hospital employee Health Insurance Wellness Discount Policy.

Radiation Oncology Center Building Project Update

Under Review of Activities, Ulrich reported recent progress on the Radiation Oncology Center to the board of directors. The most recent updates show that construction is scheduled for completion around mid to late April, as long as there are no additional delays. Consistent warmer weather will be needed to finish the concrete work. Karen Kliment Thompson, Vice President Ancillary Services, reviewed the expected equipment delivery and subsequent installation for the Varian linear accelerator to begin late February. Ulrich reported 90% of the interior steel studs are installed and electrical connections are roughed in.

Review of Activities

Also under Review of Activities, the board heard a fourth quarter report from Terri Shipshock, Executive Director of the Community Hospital Health Foundation. Shipshock updated the board on the financial status of the health foundation including the annual appeal, major gifts, planned charitable giving, community collaboration, scholarship activity, special events and other board activities.

She was especially pleased to share Community Hospital’s employee response to the October annual appeal, which focused on cancer care. The foundation set a goal of raising $10,000 from employee giving, which employees far surpassed that goal by donating $39,062 toward the annual appeal campaign. Of the 170 who donated, 47 employees were new donors.

Net revenue from An Evening for Hospice, which was held in November, was $15,500.

Joleen Bradley, Patient Safety and Performance Improvement Director gave the quality, performance improvement, patient safety and risk management report. She presented graphs which are submitted to the Centers of Medicare and Medicaid Services (CMS) and the Joint Commission regarding performance on four inpatient and three outpatient core measures. These measures are publicly reported through CMS’s Hospital Compare website.

Community Hospital continues to look for ways to sustain and improve patient safety. She said the hospital continues to report progress to the Hospital Engagement Network on six measures related to patient safety: falls with injury, elective delivery before 39 weeks, heart failure readmissions, surgical site infection, catheter associated urinary tract infections, and potentially preventable blood clots.

Thank you notes were distributed to the board members for review.

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